Reliability and validity of the symptoms of major depressive illness.
Reliability and validity of the symptoms of major depressive illness.
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DOI：
10.1001/archpsyc.1986.01800050053006
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发表时间：
1986-05
影响因子：
--
通讯作者：
C. Mazure;J. Nelson;L. Price
中科院分区：
文献类型：
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作者：
C. Mazure;J. Nelson;L. Price
在两项连续的研究中，我们检查了受访者间的信度，然后检查了针对重度抑郁症个体症状的访谈评级的同时有效性。症状的同时有效性是通过评估在访谈期间观察到或报告的症状在日常行为中观察到的程度来确定的。结果表明，临床医生可以在半结构化访谈中可靠地评估重度抑郁症和忧郁症的大多数体征和症状。访谈期间评估的可观察症状（体征）的评级是日常行为中观察到的功能障碍的有效指标。一些但并非所有基于患者症状报告的评级与观察结果存在差异。这些不一致的患者报告症状可能具有主观报告的价值，但并不是对观察到的功能障碍的准确描述。
In two consecutive studies, we examined the interrater reliability and then the concurrent validity of interview ratings for individual symptoms of major depressive illness. The concurrent validity of symptoms was determined by assessing the degree to which symptoms observed or reported during an interview were observed in daily behavior. Results indicated that most signs and symptoms of major depression and melancholia can be reliably rated by clinicians during a semistructured interview. Ratings of observable symptoms (signs) assessed during the interview were valid indicators of dysfunction observed in daily behavior. Several but not all ratings based on patient report of symptoms were at variance with observation. These discordant patient-reported symptoms may have value as subjective reports but were not accurate descriptions of observed dysfunction.